Courtney Nicole Hall, RN, BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95244479 Issued in CA

Practice address

670 Colton Ave
Colton, CA 92324-3022

Phone

(619) 384-0040

NPI assigned

Apr 29, 2021

Last updated

Apr 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Courtney Nicole Rider Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1821671678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1489 OAK HILL CIR",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917848052",
            "telephone_number": "619-384-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 COLTON AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243022",
            "telephone_number": "619-384-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "COURTNEY",
        "middle_name": "NICOLE",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95244479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "RIDER",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sanaz Hajizadeh Barfjani, M.D.
• Ronal Halbrook
• Erin Marie Hale, MD
• James Haley
• Michael John Haley
• Jenessa Lyn Halliday, PA-C
• Brittany Morgan Hamilton
• Jennifer Hamman, SLP
• Jillian Marie Hammes, D.O.
• Alexander McCoy Hammonds, PA

• Registered Nurse in Colton, CA
• Providers in Colton, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.